<!DOCTYPE html>
<html lang="en">
  <head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta name="description" content="">
    <meta name="author" content="Mosaddek">
    <meta name="keyword" content="FlatLab, Dashboard, Bootstrap, Admin, Template, Theme, Responsive, Fluid, Retina">
    <link rel="shortcut icon" href="img/favicon.html">

    <title>Blank</title>

    <!-- Bootstrap core CSS -->
    <link href="css/bootstrap.min.css" rel="stylesheet">
    <link href="css/bootstrap-reset.css" rel="stylesheet">
    <!--external css-->
    <link href="assets/font-awesome/css/font-awesome.css" rel="stylesheet" />
    <!-- Custom styles for this template -->
    <link href="css/style.css" rel="stylesheet">
    <link href="css/style-responsive.css" rel="stylesheet" />

      <link href="css/local.css" rel="stylesheet" />
    <!-- HTML5 shim and Respond.js IE8 support of HTML5 tooltipss and media queries -->
    <!--[if lt IE 9]>
      <script src="js/html5shiv.js"></script>
      <script src="js/respond.min.js"></script>
    <![endif]-->
  </head>

  <body>

  <section id="container" class="">
      <!--header start-->
      <div id="header">

      </div>
      <!--sidebar end-->
      <!--main content start-->
      <section id="main-content">
          <section class="wrapper">
              <!-- page start-->
              <div class="main-container ace-save-state" id="main-container">

                  <div class="main-content">
                      <div class="main-content-inner">
                          <div class="page-content">
                              <div class="page-header">
                                  <h1>
                                      查看
                                      <small>
                                          <i class="ace-icon fa fa-angle-double-right"></i>
                                          入住者信息
                                      </small>
                                  </h1>
                              </div><!-- /.page-header -->

                              <div class="row">
                                  <div class="col-xs-12">
                                      <!-- PAGE CONTENT BEGINS -->
                                      <form class="form-horizontal" role="form" id="myForm" method="post" enctype="multipart/form-data">

                                          <div class="form-group">
                                              <label class="col-sm-3 control-label no-padding-right" for="softwarename"> 入住老人姓名* </label>

                                              <div class="col-sm-5">
                                                  <input type="text" id="softwarename" name="softwarename"  value="李论" class="form-control " required />
                                              </div>
                                          </div>

                                          <div class="form-group">
                                              <label class="col-sm-3 control-label no-padding-right" for="apkname" > 性别* </label>

                                              <div class="col-sm-5">
                                                  <input type="text" id="apkname" name="apkname" value="男"  class="form-control"/>
                                              </div>
                                          </div>

                                          <div class="form-group">
                                              <label class="col-sm-3 control-label no-padding-right" for="supportrom"> 身份证* </label>

                                              <div class="col-sm-5">
                                                  <input type="text" id="supportrom" value="430481111111111111" name="supportrom" placeholder="请输入身份证" class="form-control " />
                                                  <span class="tip"> 请输入身份证</span>
                                              </div>
                                          </div>

                                          <div class="form-group">
                                              <label class="col-sm-3 control-label no-padding-right" for="downloads"> 体检报告* </label>

                                              <div class="col-sm-5">
                                                  <input type="image" src="imgs/TIM图片20210427100133.png" />
                                              </div>
                                          </div>

                                          



                                          <div class="clearfix form-actions">
                                              <div class="col-md-offset-3 col-md-9">
                                                  <button class="btn btn-danger pizhun" id="submit" type="button">
                                                      <!--                                                      <i class="ace-icon fa fa-check bigger-110"></i>-->
                                                      批准入院
                                                  </button>

                                                  &nbsp; &nbsp; &nbsp;
                                                  <button class="btn jujue" type="reset">
                                                      <!--                                                      <i class="ace-icon fa fa-undo bigger-110"></i>-->
                                                      拒绝入院
                                                  </button>
                                                  &nbsp; &nbsp; &nbsp;
                                                  <button class="btn btn-info" type="button" onclick="javascript:history.back()">
                                                      <!--                                                      <i class="ace-icon fa fa-undo bigger-110"></i>-->
                                                      返回
                                                  </button>
                                              </div>
                                          </div>



                                      </form>

                                      <!-- PAGE CONTENT ENDS -->
                                  </div><!-- /.col -->
                              </div><!-- /.row -->
                          </div><!-- /.page-content -->
                      </div>
                  </div><!-- /.main-content -->

              </div>
              <!-- page end-->
          </section>
      </section>
      </section>
      <!--main content end-->
  </section>

    <!-- js placed at the end of the document so the pages load faster -->
    <script src="js/jquery.js"></script>
    <script src="js/bootstrap.min.js"></script>
    <script src="js/jquery.scrollTo.min.js"></script>
	<script src="localjs/churuyuanruyuanxi.js"></script>
    <script src="js/jquery.nicescroll.js" type="text/javascript"></script>


    <!--common script for all pages-->
    <script src="js/common-scripts.js"></script>


  </body>
</html>
